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Home My WebLink AboutBLDE-22-003686 Commonwealth of Official Use Only fi..: '� Massachusetts Permit No. BLDE-22-003686 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:1/3/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 128 PLEASANT ST Owner or Tenant ONEIL GREGORY I Owner's Address 128 PLEASANT ST, SOUTH YARMOUTH, MA 02664-4551 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 New Service Undgrd 0 No.of Meters Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers Total No.of Luminaire Outlets No.of Hot Tubs KVA Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiatine Devices No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Ballasts Data Wiring: Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury, I erry,u that the information on this application is true and complete. FIRM NAME: Licensee: Nicholas McEloy Signature LIC.NO.: 22642 (If applicable,enter"exempt"in the license number line.) Address:31 Captain Carleton Road, Cotuit Ma 02635 Bus.Tel.No.: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License:OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one ) 0 owner 0 owner's agent. Signature Telephone No. PERMIT FEE:,8'50.00 0 s1?(WI X Commonwealth o//t'IaMachuietts Official Use Only a{ � �t c s Permit No. ,e ,:2' �� 2epartment o ire ervice8 %� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked '' ' [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 7 CM 12.00 (PLEASE PRINT IN INK OR TYPE LL INFORMATIO Date: / of o2 7 0.2 City or Town of: Qi oil. To the Inspect° of W res: By this application the undersigned gi s notice of his or her int ntion to perform the electrical work described below. Location(Street&Number) 1 �► v' OL QJ / c Owner or Tenant }� 't' J V h01I Telephone No. t7 p Owner's Address ��^�� S U ,�:53� Is this permit in conjunction with a building permit? Yes ❑ No 1b.1 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 1; 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:Wo (t of 0 , /64.S / irGf 44 7 vs t i'! A/ --d. j o , 5' Gti ( O( , (,f (' A2(net aid ,*c.cSS 5 « v �o Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons [KW No.o(Self-Contained Totals:I }_ [ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent �, Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Electrical Work: p2 wD, (When required by municipal policy.) Work to Start: / q ,?a- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 0 RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties operjury,that the information on this application is true and comple FIRM NAME: Cape Cod Electrcal / LIC.NO.: ?l q 7-A Licensee: Nick McElroy Signature :670 Al(Business) (If applicable,enter "exempt"in the license number line.) LIC.NO.. Address: 381 Old Falmouth Rd Ste 32 Marstons Miffs MA 02648 Bus.Tel.No.: 508-566-4484 Te*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lich No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one ■ owner • owner's a_ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ .60• oa Email: Office@capecodelectrician.com